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DISSERTATION
HOSPITAL SERVICES
SUBMITTED BY:
IMRAN KHAN
SCH. NO.- 101110056
HOSPITAL SERVICES
Hospital services is a term that refers to
medical and surgical services and the
supporting laboratories, equipment
and personnel that make up the
medical and surgical mission of a
hospital or hospital system.
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BACKGROUND
Historically, building services have been little more than a few
cables, pipes and ducts. In the past half-century the role of
service engineers, as they were known, has transformed to
architectural design team consultants and construction site
coordinators
OBJECTIVES
1. To list and study all general facilities provided in a
hospital.
2. To understand service planning in hospitals and
their requirements.
3. To list and study any special facilities provided in a
hospital (like medical gas pipelines etc.)
4. To study how service planning can help improve
functional efficiency in hospitals.
AIM
Improving functional efficiency in hospitals through service
planning.
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SCOPE
1. Study of different services in a general hospital.
2. Study of requirements, design parameters and types of
different services and facilities provided in a hospital building.
3. Study of work flow followed for the installation of these
facilities.
4. Study of user comfort affected by facilities planning.
LIMITATIONS
1. The financial aspects of service planning has not been
considered.
2. Super specialized services for super speciality hospitals has not
been considered.
3. Technological aspects of machinery have not been discussed.
NEED
Globally, healthcare systems are experiencing increasing fiscal,
demographic and consumer pressure. There have been
metamorphic changes in the recent past in the sphere of
healthcare delivery. Hospitals are amongst the largest and most
complex of all modern institutions. To add to this complexity are
the major transformations that are occurring in the delivery of
healthcare worldwide.
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JUSTIFICATION
Hospitals are institutions comprising basic services and personnel
usually departments of medicine and surgerythat administer
clinical and other services for specific diseases and conditions, as
well as emergency services. Hospital services cover a range of
medical offerings from basic health care necessities or training and
research for major medical school centers to services designed by
an industry-owned network of such institutions as health
maintenance organizations (HMOs). The mix of services that a
hospital may offer depends almost entirely upon its basic mission(s)
or objective(s).
In addition, new medical technologies have allowed hospitals to
provide life-saving diagnostic and therapeutic alternatives that
were unavailable in the 1990s.
The basic services provided
in a hospital building are:
1. Hot and cold water
systems
2. Electrical installations
3. Mechanical systems like
lifts and escalators
4. HVAC systems
5. Drainage
6. Sanitary systems
7. Fire protection and
control systems
8. Lighting installations
Also specialized services provided
in hospitals include:
1. Medical gas pipelines
2. Hospital waste management
services
3. Mortuary services
4. Medical imaging services
5. ICUs (Intensive Care Units)
6. Operation theatres
7. Laboratory services
8. Housekeeping and laundry
services
9. Central sterile supply department
10. Catering services
11. Hospital information and records
systems
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GENERAL BUILDING SERVICES
Building services are the dynamics in a static
structure. They provide facilities for light,
comfort, movement, communications and
convenience. The impact of services in a
modern building can be measured against
the amount of space they occupy and the
cost of installation, notwithstanding the
maintenance bill thereafter. In spatial terms,
the equivalent of one floor in six, i.e. over 15%
of a buildings volume can be attributed to
accommodating cables, ducts, pipes, etc.
As a proportion of the capital cost of
constructing a highly serviced structure, such
as a hospital or a sports centre, in excess of
75% is not unusual.
SPECIALIZED BUILDING SERVICES
Modern hospital buildings are designed to
minimise the effort of medical personnel
and the possibility of contamination while
maximising the efficiency of the whole
system. Travel time for personnel within the
hospital and the transportation of patients
between units is facilitated and minimised.
The building also should be built to
accommodate heavy departments such
as radiology and operating rooms while
space for special wiring, plumbing, and
waste disposal must be allowed for in the
design.
Each hospital is comprised of a wide range
of services and functional units.
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SERVICE PLANNING IN HOSPITALS
Hospital buildings also have extensive mechanical,
electrical, plumbing and medical gas systems whose
needs drive architectural planning as well. Each of these
services needs significant space for its equipment, and
benefits from the shortest and most direct distribution
while keeping building services out of sight and separate
from the clinical and public areas. Structural design for
future hospitals emphasizes a high degree of flexibility to
accommodate planning requirements that change all
through the design process and interior layouts which
can be expected to change many times over the years.
To deal with these systems, modular planning within a
consistent structural grid can be established early in the
planning process to lend order to the result.
THE METHODOLOGY FOLLOWED IN THE FORM
OF A FLOWCHART IS SHOWN AS FOLLOWS:
SELECTION AND
FINALIZATION OF THE
TOPIC
STUDY OF THE SUBJECT
AND COLLECTION OF
VARIOUS INFORMATION
SOURCES
DEFINING OF THE AIM
AND OBJECTIVES OF THE
STUDY
SEARCHING DIFFERENT
SOURCES FOR
INFORMATION AND DATA
COLLECTION
SORTING AND ORDERING
OF COLLECTED DATA
AND LIMITING OF THE
SCOPE OF STUDY AND
THE LIMITATIONS OF THE
STUDY
ARRANGING OF THE
DATA ACCORDING TO
THE DIFFERENT
OBJECTIVES
ANALYSIS AND
CONCLUSION OF THE
STUDY
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REFERENCES
http://www.surgeryencyclopedia.com/Fi-La/Hospital-Services.html
(11:17pm on 2/3/2014)
Book: Modern trends in planning and designing of hospitals, JAYPEE
PUBLICATIONS
Book: Building services Handbook by Fred Hall and Roger Greeno
Modern health care delivery systems, care coordination and the role of
hospitals: Compiled report of the workshop organized by the Belgium
Federal Public Health Service and WHO Europe, Brussels, Belgium,
21-22 November 2011, and the internal WHO expert meeting on
roadmap development, Copenhagen, Denmark, 12 January 2012
THANK YOU